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Inhaled Hydrogen Therapy's Effect on Early Recurrences of Atrial Fibrillation Post-ablation. (H2-FA)

3 november 2026 bijgewerkt door: University Hospital, Grenoble

Inhaled Hydrogen Therapy's Effect on Early Recurrences of Atrial Fibrillation Post-ablation. Phase II, Multicenter, Randomized, Controlled, Open-label Clinical Trial

The goal of this clinical trial is to testing the perioperative inhaled hydrogen (H2) administration's effects during atrial fibrillation ablations (AF) to reduce both early and late recurrences associated with this procedure.

Researchers will compare H2 inhalation to the standard of care to see if we observe a reduction in AF recurrence after ablation but also a reduction in rehospitalizations or emergency visits for cardioversion, and consequently an improvement in quality of life.

Participants will:

  • have an AF ablation associated to an hydrogen therapy or standard of care
  • complete quality of life questionnaires
  • record ECG on KardiaMobile©
  • Keep a diary of their symptoms
  • have a blood test
  • have 2 follow-up visits (after 3 and 12 months) and 2 phone calls (after 6 and 9 months)

Studie Overzicht

Toestand

Nog niet aan het werven

Conditie

Interventie / Behandeling

Studietype

Ingrijpend

Inschrijving (Geschat)

124

Fase

  • Fase 2

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

Studie Contact Back-up

Studie Locaties

  • Frankrijk
    • Isère
      • Grenoble, Isère, Frankrijk, 38000
        • Chu Grenoble Alpes
        • Hoofdonderzoeker:
          • Pascal DEFAYE, Pr
        • Contact:
        • Contact:
        • Onderonderzoeker:
          • Sandrine VENIER, Dr
        • Onderonderzoeker:
          • Peggy JACON, Dr
        • Onderonderzoeker:
          • Adrien CARABELLI, Dr
    • Rhone
      • Bron, Rhone, Frankrijk, 69500
        • Hopital Louis Pradel
        • Contact:
        • Contact:
        • Hoofdonderzoeker:
          • Philippe CHEVALIER, Pr
        • Onderonderzoeker:
          • Kevin GARDEY, Dr

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar tot 80 jaar (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

  1. Be over 18 years old
  2. Present with paroxysmal or persistent Atrial Fibrilation (AF) of less than 6 months with symptoms
  3. Be a candidate for a first-time AF ablation (cryoablation and electroporation)
  4. Understand and agree to comply with the study procedures
  5. Patient must have a smartphone
  6. Be enrolled in a social security scheme, or have equivalent rights
  7. Have signed the study consent form

Exclusion Criteria:

  1. Being over 80 years old
  2. Having a left atrial diameter ≥ 50mm on transthoracic echocardiography
  3. Radiofrequency ablation
  4. Having a history of AF ablation
  5. Patient on long-term anti-inflammatory treatment
  6. Patient with gas administration equipment (CPAP, NIV…)
  7. Woman of childbearing potential*
  8. Non-cooperative patient
  9. In the exclusion period for another study
  10. Persons covered by Articles L1121-5 to L1121-8 of the Public Health Code and Articles 31 to 35 of Regulation 536/2014 (corresponding to all protected persons: pregnant women, women in labor, breastfeeding mothers, persons deprived of liberty by judicial or administrative decision, persons receiving psychiatric care under Articles L. 3212-1 and L. 3213-1 who are not covered by the provisions of Article L. 1121-8, persons admitted to a healthcare or social facility for purposes other than research, minors, persons subject to legal protection measures or unable to give their consent).
  11. Staff with a hierarchical relationship with the principal investigator

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Preventie
  • Toewijzing: Gerandomiseerd
  • Interventioneel model: Parallelle opdracht
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Geen tussenkomst: Standard of care

patients treated with usual care (Standard of Care)
Experimenteel: H2

patient treated with inhaled hydrogen therapy during the perioperative period
Geneesmiddel: Hydrogen Gas (H2)

Patients treated with inhaled hydrogen therapy in the perioperative period (initiation of inhaled hydrogen therapy from hospital admission until discharge, except in the operating room) (dosage : H2/N2 3.6%/96.4%, 1 L/min 24 hours a day)

Andere namen:
  • inhaled hydrogen therapy

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Effectiveness of inhaled hydrogen therapy on early recurrences of atrial fibrillation post-ablation and on the improvement of quality of life at 3 months
Tijdsspanne: From baseline (before ablation) to 3 months after ablation

Composite binary endpoint, reported as the number of participants meeting both criteria: (1) no early recurrence during the blanking period (first 3 months after ablation), where recurrence is defined as any episode of atrial fibrillation, atrial flutter or atrial tachycardia lasting at least 30 seconds; AND (2) improvement in quality of life, defined as an improvement in quality of life, defined as an increase of at least 5 points in the AFEQT overall score (range 0-100; higher scores indicate better quality of life) between baseline and 3 months.
From baseline (before ablation) to 3 months after ablation

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Number of hospitalizations or electrical cardioversions or pharmacological cardioversions during the blanking period (3 months)
Tijdsspanne: From ablation to 3 months after ablation

Total number of hospitalizations or electrical cardioversions or pharmacological cardioversions occurring during the blanking period, i.e. the first 3 months after ablation. The three event types are summed into a single count per participant.
From ablation to 3 months after ablation
Incidence of Late Atrial Fibrillation, Atrial Flutter or Atrial Tachycardia Recurrence Between 3 and 12 Months After Ablation
Tijdsspanne: From 3 months to 12 months after ablation

Number of participants with late recurrence, defined as any episode of atrial fibrillation, atrial flutter or atrial tachycardia lasting at least 30 seconds on Holter or Kardia recording, or recorded on a 12-lead electrocardiogram, occurring more than 3 months and up to 12 months after ablation.
From 3 months to 12 months after ablation
Change in White Blood Cell Count (WBC) from before ablation to 24 and 48 hours after ablation
Tijdsspanne: 24 hours before ablation, 24 hours after ablation, and 48 hours after ablation

Change in blood white blood cell (WBC) count, measured in 10^9 cells/L, between 24 hours before ablation and 24 hours and 48 hours after ablation.
24 hours before ablation, 24 hours after ablation, and 48 hours after ablation
Change in High-Sensitivity C-Reactive Protein (CRP) from before ablation to 24 and 48 hours after Ablation
Tijdsspanne: 24 hours before ablation, 24 hours after ablation, and 48 hours after ablation

Change in blood high-sensitivity C-reactive protein (hs-CRP) concentration, measured in mg/L, between 24 hours before ablation and 24 hours and 48 hours after ablation.
24 hours before ablation, 24 hours after ablation, and 48 hours after ablation
Change in Interleukin-6 from before ablation to 24 and 48 hours after Ablation
Tijdsspanne: 24 hours before ablation, 24 hours after ablation, and 48 hours after ablation

Change in blood interleukin-6 (IL-6) concentration, measured in pg/mL, between 24 hours before ablation and 24 hours and 48 hours after ablation.
24 hours before ablation, 24 hours after ablation, and 48 hours after ablation
Incidence of Adverse Events Graded by NCI-CTCAE Version 5.0 (Safety and Tolerability)
Tijdsspanne: From the start of inhaled hydrogen therapy to 12 months after ablation

Number of participants with adverse events, described and graded using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. Grades range from 1 (mild) to 5 (death related to adverse event); higher grades indicate more severe events.
From the start of inhaled hydrogen therapy to 12 months after ablation
Evaluate the acceptability of hydrogen therapy treatment by healthcare providers
Tijdsspanne: Day 2 after ablation

Custom hetero-questionnaire on the acceptability of hydrogen therapy treatment by healthcare providers
Day 2 after ablation

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

University Hospital, Grenoble

Medewerkers

University Grenoble Alps

Onderzoekers

  • Hoofdonderzoeker: Pascal DEFAYE, Pr, CHU Grenoble Alpes

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Geschat)

1 januari 2027

Primaire voltooiing (Geschat)

1 januari 2029

Studie voltooiing (Geschat)

1 september 2029

Studieregistratiedata

Eerst ingediend

2 juni 2026

Eerst ingediend dat voldeed aan de QC-criteria

3 november 2026

Eerst geplaatst (Werkelijk)

10 november 2026

Updates van studierecords

Laatste update geplaatst (Werkelijk)

10 november 2026

Laatste update ingediend die voldeed aan QC-criteria

3 november 2026

Laatst geverifieerd

1 november 2026

Meer informatie

Termen gerelateerd aan deze studie

Trefwoorden

Andere studie-ID-nummers

  • 38RC22.0404
  • 2024-520131-33-00 (Ctis)

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

product vervaardigd in en geëxporteerd uit de V.S.

Nee

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